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[Does knowledge hurt?].

R Strand1, E Schei

  • 1Senter for vitenskapsteori, Universitetet i Bergen, Postboks 7800 5020 Bergen. roger.strand@svt.uib.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|July 14, 2001
PubMed
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The rapid growth of medical knowledge may not always be beneficial. Excessive focus on new medical facts and technology can lead to harm and neglect essential clinical judgment skills.

Area of Science:

  • Medical Ethics
  • Philosophy of Science
  • Health Policy

Background:

  • The rapid increase in medical knowledge production presents challenges for practitioners.
  • The assumption that more medical knowledge is always desirable is questioned.

Purpose of the Study:

  • To philosophically reflect on the desirability of increasing medical knowledge production.
  • To explore potential harms associated with the relentless pursuit of new medical knowledge.

Main Methods:

  • Philosophical analysis of the value of medical knowledge.
  • Examination of the law of diminishing returns in healthcare.
  • Discussion of knowledge reification and its consequences.
  • Analysis of the impact on clinical skills and phronesis.

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Main Results:

  • The health sector may experience diminishing returns, where increased resources can lead to negative outcomes.
  • The principle of 'knowledge is power' is less applicable due to biological and psychosomatic complexities.
  • Medical research can cause harm through unknown effects of new technologies and by devaluing clinical judgment.

Conclusions:

  • The uncritical pursuit of biomedical knowledge may yield unintended harm.
  • Overemphasis on factual knowledge risks eroding essential clinical skills like phronesis.
  • A balanced approach is needed, considering potential harms alongside benefits of medical advancements.